54 yo with ED for over 15 years

Hello everyone,

So it’s been getting markedly worse over the past few months. Quick history, been on testosterone replacement therapy since I was 38, levels are low now but my doctor won’t increase my dose because my hematocrit (53.8%) and hemoglobin (18.1) levels are elevated. Not dangerous but creeping up. Was on Viagra in the beginning, worked ok but I couldn’t orgasm, switched to Cialis and that worked great for a long time but then it wasn’t working well enough for penetration so I tried Rugiet Ready. Now that was the ticket for the past five years or so, I did increase dosages twice and can get it one dose higher. I just tried BlueChew Gold in the max dose and it failed me miserably. I got very hard while my wife was stroking me but as soon as I tried to penetrate her it went soft and there was no sign of it coming back. Tried a regular Tadalafil 20mg today and my wife was able to make me orgasm by hand but I don’t think I was hard enough to have penetrative sex (I’m blessed with a wife with a tight vagina, but now it’s becoming a curse). I do get morning erections most of the time but if it’s been a while since I’ve had any ED meds then I often won’t or they’re weak. Anyway, I’m considering going to the urologist and seeing if Trimix is a good option. I am here wondering if anyone has had a similar situation and what you did. TIA!